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Published on: February 16, 2011
From the asylum to community care: learning from experience.
1Department of Mental Health Sciences, Hampstead Campus, Royal Free and University College London Medical School, 2nd Floor, Royal Free Hospital, London NW3 2PF, UK. h.killaspy@medsch.ucl.ac.uk
British Medical Bulletin
|January 25, 2007
Summary
Community care enhances patient satisfaction and quality of life but is not cost-saving. Lessons from mental health services are crucial for planning physical health community-based care.
Area of Science:
- Health Services Research
- Public Health Policy
Background:
- A comprehensive review of research and policy concerning community care was conducted.
- Examined the evolution and implementation of community-based healthcare models.
Purpose of the Study:
- To synthesize existing knowledge on community care across various health specialties.
- To identify benefits, drawbacks, and policy implications of community care models.
Main Methods:
- Systematic literature search of Medline using keywords 'mental health,' 'community care,' and 'long-term conditions.'
- Searches of governmental and professional body websites (Department of Health, Royal College of Psychiatrists).
- Hand search of historical texts on community care development.
Main Results:
- Community care consistently improved patient satisfaction and quality of life.
- It was not found to be a more cost-effective alternative to hospital care.
- Identified challenges include staff migration from inpatient to community settings and the rise of non-statutory service providers.
Conclusions:
- Findings suggest that physical health services can benefit from the experiences of mental health services in developing community-based care.
- Emphasizes the need for strategic planning to mitigate potential disadvantages of community care models.
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